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1235623091
KENNETH A GILBERT
TIGARD, OR
NPI
1235623091
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2018-06-15
Last Update Date
2018-06-15
Business Address
KENNETH A GILBERT
8915 SW CENTER ST
TIGARD, OR 97223-6307
Phone number: 503-726-3690
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Mailing Address
KENNETH A GILBERT
3280 SW 170TH AVE APT 1209
BEAVERTON, OR 97003-8608
Phone number: 952-334-5836
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